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NPI 1609913359

NPI 1609913359 : GENERAL PHARMACIES INC : BRADENTON, FL

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General NPI Number Information
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    NPI Number           |    1609913359
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    Entity Type          |    Organization 
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    Legal Business Name  |    GENERAL PHARMACIES INC 
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Dates
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    Enumeration Date     |    01/31/2007
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    Last Update Date     |    09/13/2007
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Provider Practice Location Address
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    Address Line         |    1409 57TH AVE W 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34207-3647
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    Country              |    US
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    Telephone            |    941-755-2951
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    Fax                  |    941-752-4651
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Provider Business Mailing Address
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    Address Line         |    1409 57TH AVE W 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34207-3647
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHARMACIST
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    Name                 |     SCOTT  NICHOLS 
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    Credential           |    
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    Telephone            |    941-755-2951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    PH11433
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    License Number State |    FL
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